BACKGROUNDStenosis, ulceration and dilatation at the gastrojejunostomy (GJ) are recognized complications after Roux-en-Y gastric bypass (RYGBP). Treatment options for GJ complications include in most cases endoscopy; rarely, a surgical revision is needed. In this series we reviewed our experience with surgical revisions of the GJ in patients that did not respond to an endoscopic treatment […]
Introduction:Patients undergoing paraesophageal hernia repair are known to have recurrence rates as high as 40 %. Preoperative findings on anatomic studies fail to determine intraoperative strategies to decrease this recurrence rate. Current operative techniques to reduce this rate include extensive mediastinal dissection to increase intra-abdominal esophageal length, closure of the hiatus with mesh, sac excision […]
The extravasation of milky chyle into the peritoneal cavity is known as Chylous ascites. A true chylous effusion is defined as the presence of ascitic fluid with high fat (triglyceride) content, usually higher than 110 mg/Dl. This can occur de novo as a result of trauma, neoplasm, obstruction of the lymphatic system as well as […]
Background: Bochdalek hernias are congenital diaphragmatic defects that have been well described in the pediatric literature. The first congenital diaphragmatic hernia was described in the 17th century by Lzarus Riverius and first described clinically by Vincent Alexander Bochdalek in 1848. Although treatment has progressed through the use of thoracoscopic repair in 1995 and laparoscopic repair […]
Introduction: The two-week rule in United Kingdom was introduced to ensure that all patients with a suspected colorectal cancer (CRC) saw a hospital specialist within 14 days of an urgent GP referral. The usefulness and practicality of such a decision has been questioned. The aims of this study were to measure the compliance to the […]